Scrotal reconstruction and testicular prosthetics
Identifieur interne : 00C114 ( Ncbi/Merge ); précédent : 00C113; suivant : 00C115Scrotal reconstruction and testicular prosthetics
Auteurs : Jacob W. Lucas ; Kyle M. Lester ; Andrew Chen ; Jay SimhanSource :
- Translational Andrology and Urology [ 2223-4691 ] ; 2017.
Abstract
Scrotal surgery encompasses a wide-variety of surgical techniques for an even wider variety of indications. In this manuscript, we review our indications, techniques, and pit-falls for various reconstructive scrotal surgeries as-well-as surgical tips for placement of testicular prostheses. Penoscrotal webbing (PSW) is an abnormal, often-problematic distal insertion of scrotal skin onto the ventral penile shaft. There are several effective and straightforward techniques used to revise this condition, which include simple scrotoplasty, single- or double-Z-plasty, or the VY-flap scrotoplasty. Reconstruction is also commonly indicated following scrotal skin loss caused by infection, trauma, lymphedema, hidradenitis, and cancer. Although initial management of these conditions often involves scrotal skin removal, repair of expansive scrotal skin loss can be technically difficult and can be accomplished by using one of several skin flaps or skin grafting. Split-thickness skin grafting of scrotal defects can be accomplished easily, and provides durable results.
Url:
DOI: 10.21037/tau.2017.07.06
PubMed: NONE
PubMed Central: 5583055
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<front><div type="abstract" xml:lang="en"><p>Scrotal surgery encompasses a wide-variety of surgical techniques for an even wider variety of indications. In this manuscript, we review our indications, techniques, and pit-falls for various reconstructive scrotal surgeries as-well-as surgical tips for placement of testicular prostheses. Penoscrotal webbing (PSW) is an abnormal, often-problematic distal insertion of scrotal skin onto the ventral penile shaft. There are several effective and straightforward techniques used to revise this condition, which include simple scrotoplasty, single- or double-Z-plasty, or the VY-flap scrotoplasty. Reconstruction is also commonly indicated following scrotal skin loss caused by infection, trauma, lymphedema, hidradenitis, and cancer. Although initial management of these conditions often involves scrotal skin removal, repair of expansive scrotal skin loss can be technically difficult and can be accomplished by using one of several skin flaps or skin grafting. Split-thickness skin grafting of scrotal defects can be accomplished easily, and provides durable results.</p>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Transl Androl Urol</journal-id>
<journal-id journal-id-type="iso-abbrev">Transl Androl Urol</journal-id>
<journal-id journal-id-type="publisher-id">TAU</journal-id>
<journal-title-group><journal-title>Translational Andrology and Urology</journal-title>
</journal-title-group>
<issn pub-type="epub">2223-4691</issn>
<publisher><publisher-name>AME Publishing Company</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmc">5583055</article-id>
<article-id pub-id-type="publisher-id">tau-06-04-710</article-id>
<article-id pub-id-type="doi">10.21037/tau.2017.07.06</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Scrotal reconstruction and testicular prosthetics</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Lucas</surname>
<given-names>Jacob W.</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Lester</surname>
<given-names>Kyle M.</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Chen</surname>
<given-names>Andrew</given-names>
</name>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Simhan</surname>
<given-names>Jay</given-names>
</name>
</contrib>
<aff id="aff1">Department of Urology,<institution>Einstein Healthcare Network/Fox Chase Cancer Center</institution>
,<addr-line>Philadelphia, PA</addr-line>
,<country>USA</country>
</aff>
</contrib-group>
<author-notes><fn id="afn1"><p><italic>Contributions:</italic>
(I) Conception and design: JW Lucas, J Simhan; (II) Administrative support: J Simhan; (III) Provision of study material or patients: All authors; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.</p>
</fn>
<corresp id="cor1"><italic>Correspondence to:</italic>
Jay Simhan, MD. Temple Health and the Fox Chase Cancer Center, 1200 Tabor Road, Moss/3 Sley, Philadelphia, PA 19141, USA. Email: <email xlink:href="jsimhan@gmail.com">jsimhan@gmail.com</email>
.</corresp>
</author-notes>
<pub-date pub-type="epub-ppub"><month>8</month>
<year>2017</year>
</pub-date>
<pmc-comment>Fake ppub date generated by PMC from publisher
pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub"><month>8</month>
<year>2017</year>
</pub-date>
<volume>6</volume>
<issue>4</issue>
<fpage>710</fpage>
<lpage>721</lpage>
<history><date date-type="received"><day>10</day>
<month>4</month>
<year>2017</year>
</date>
<date date-type="accepted"><day>29</day>
<month>6</month>
<year>2017</year>
</date>
</history>
<permissions><copyright-statement>2017 Translational Andrology and Urology. All rights reserved.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Translational Andrology and Urology.</copyright-holder>
</permissions>
<abstract><p>Scrotal surgery encompasses a wide-variety of surgical techniques for an even wider variety of indications. In this manuscript, we review our indications, techniques, and pit-falls for various reconstructive scrotal surgeries as-well-as surgical tips for placement of testicular prostheses. Penoscrotal webbing (PSW) is an abnormal, often-problematic distal insertion of scrotal skin onto the ventral penile shaft. There are several effective and straightforward techniques used to revise this condition, which include simple scrotoplasty, single- or double-Z-plasty, or the VY-flap scrotoplasty. Reconstruction is also commonly indicated following scrotal skin loss caused by infection, trauma, lymphedema, hidradenitis, and cancer. Although initial management of these conditions often involves scrotal skin removal, repair of expansive scrotal skin loss can be technically difficult and can be accomplished by using one of several skin flaps or skin grafting. Split-thickness skin grafting of scrotal defects can be accomplished easily, and provides durable results.</p>
</abstract>
<kwd-group kwd-group-type="author"><title>Keywords: </title>
<kwd>Fournier’s gangrene (FG)</kwd>
<kwd>hydrocele</kwd>
<kwd>prosthesis implantation</kwd>
<kwd>scrotum</kwd>
<kwd>skin grafting</kwd>
<kwd>trauma</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Chen, Andrew" sort="Chen, Andrew" uniqKey="Chen A" first="Andrew" last="Chen">Andrew Chen</name>
<name sortKey="Lester, Kyle M" sort="Lester, Kyle M" uniqKey="Lester K" first="Kyle M." last="Lester">Kyle M. Lester</name>
<name sortKey="Lucas, Jacob W" sort="Lucas, Jacob W" uniqKey="Lucas J" first="Jacob W." last="Lucas">Jacob W. Lucas</name>
<name sortKey="Simhan, Jay" sort="Simhan, Jay" uniqKey="Simhan J" first="Jay" last="Simhan">Jay Simhan</name>
</noCountry>
</tree>
</affiliations>
</record>
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